Grand St Paul Cvs LLC

NPI #1306868096 in Champlin, Minnesota

Provider Information

NPI Number
1306868096
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Nov 21, 2016

Practice Location

Address
11990 BUSINESS PARK BLVD N
ZIP Code
55316-2005
Phone
(763) 354-1007

Authorized Official

Name
SUSAN COLBERT
Title
SR. DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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